HomeMy WebLinkAboutPermit Building 1992-10-30
RESIDENTIAL
PERMIT APPLICATION
Inspections: 726.3769
Office: 726-3759
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LOCATION OF PROPOSED WORK:
ASSESSORS MAP'
1702 32
LOT: 1
~
SPRINGFIELD
4401 Daisy Street
34 04500 '
BLOCK:
OWNER: Jess & Betty Brooks
ADDRESS: ,P.O. Box 116
CITY: Springfield. Oregon,. 97477
STATE:
..
JOB NUMBER
C\8~j)
225 Fifth Street
Springfield, Oregon 97477
Spfld.
1
TAX LOT'
SUBDIVISION: Ravenwood
PHONI=' 747-5009
ZIP:
Construction single familv resmdense
DESCRIBE WORK:New
NEW X REMODEL
ADDITION
DEMOLISH
SECONDARY HEAT: Ft-J
SQUA,R_E FQOTA{3 E: l.L.R./ r;? +- .
r'ntnl'l1J2f'V~. ~LP
To request an inspection, you must call 726.3769. This Is a 24 hour recording. All inspections requested before 7:00 a,m. will be
made the same working day, Inspections requested after 7:00 a,m, will be made the following work day.
CONTRACTOR'S NAME
GENERAL' Jess Brooks P.O.
PLUMBING: Custom Plmb.
MECHANICAL: Marshall's
ELECTRICAL'
Daves Electric
QUAD AREA:~ ~Qf0 ./
I # OF BLDGS: \
OCCY GROUP: ~:\-\- .tJ\
\
# OF STORIES:
WATER HEATER:
~
.; IZl Temporary Electric
o Site Inspec;:tion - To be made
after excavation, but prior to
setting forms.
o Underslab Plumbing/ Electrical/
Mechanical - Prior to cover.
~ Fo'oting - After trenches are
~ excavated.
o Masonry - Steel location, bond
beams, grouting.
.; ~Foundation - After forms are
~erected 'but prior to concrete
placement.
o Underground Plumbing - Prior
to filling trench,
-c7l' Underfl€..Plumb~nicaD
~- Prior to insulation or decking.
~ Post and Beam - Prior to floor
~insulation or decking.
.c7f Floor Insulation - Prior to
~ecking,
~ Sanitary Sewer - Prior to filling
;.cs..trench.
. " ".... . . ..'.,
~ Storm Sewer - Prior to filling
. ~trench,
l5<f Water Line - Prior to filling
, .trench.
;:;::A'Rough Plumbing - Prior to
~cover,
OTHER
CONST.
CONTRACTOR # EXPIRES PHONE
8537 8 27 9%3 747 5009
20-174 pb 6 30 93 485 1146
-
25790 1223 93 747 7445
77472 10 1 93 896 3942
ADDRESS
Box116 Sofld.
Eugene
Spfld;
Sofld.
- OFFICE USE -
LAND USE: _I \ II
\ '
CONSTR. TYPE: \/ (\)
HEAT SOURCE: f' ~_
~
# OF UNITS:
RANGE'
REQUIRED INSPECTIONS
lX Rough Mechanical - Prior to
, ....over.
15(1' Rough Electrical - Prior to
; ,cover,
'l'<..../f Electrical Service - Must be
.AI approved to obtain permanent
electrical power.
o Fireplace - Prior to facing
materials and framing Insp.
;:><J. Framing - Prior to cover.
.
,~Wall/Ceiling Insulation - Prior to
~cover.
gDrywall - Prior to taping.
~ Wood Stove - After installation'.
~ ~/rr,A F~
o Insert - After fireplace approval
and installation of unit,
~'
Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Sidewalk & Driveway - After
excavation is complete, forms
and sub-base material in place,
o Fence - When completed.
-
, Yf31\Street Trees - When all required "
~trees are planted." '
FLOOD PLAIN'
ZONING CODE:
LDrU
../.)
# OF BDRMS:
K71' Final Plumbing - When all
J.....,~ plumbing work Is complete.
~ Final Electrical - When all
~electrical work is complete,
'h.t-1 Final Mechanical - When all
~ mechanical work is complete,
w( Final Building - When all
~required, inspections have been
approved and building is
completed.
o Other
MOBILE HOME INSPECTIONS
o Blocking and Set-Up - When all
, blocking is complete,
o Plumbing Connections - When
home has been connected to
water and sewer,
o Electrical Connection - When
blocking, set.up, and plumbing
inspections have been approved
and the home is connec,ted to
the service panel.
o Final ~ After all required
inspections 'are approved and
"'. '.' . .'
, , po'rches, skirting, decks,' and
venting have been installed,
Jiil""""""- .....
Lot faces ~ Lot Type'" Setbacks
Lot sq. ftg. /EJII ~ L Interior I P.L. HSE GAR ACC
IN 2&>'
Lot coverage jj!fo Corner
,,,,,. Is '2.2'
Topography W Panhandle
\ ~~' Iw /2../ ~'I
Total height Cul.de-sac
IE 11~' I
I
..
.
I further agree to ensure that all required inspections are
requested at the proper time, that each address is readable
from the street, that the permit card Is located at the front
of the property, and the approved set of plans will remain
. on the ,ite at all time, dU';~t:c~'on. b
\. ~gnature ~ ~
~ '1/
/ '
Date
BUILDING PERMIT
j~{' ;() ~~Q~ili= VAJ~ ::h
(j)'flr:J... \ -\ . \0 %;0. (as
33lo \4 .\C') 4\l~l
f{)51~
_~1ln.~
/~.f,O
_39~
ITEM
Main
Garage
Carport
" 1\ru
, ' \
Total Value
Building Permit Fee
State Su rcharge
Total Fee
(A)
SYSTEMS DEVELOPMENT CHARGE (SDC) ,]"
fI, '?"Z. ~
(B) 1'r67.. -
PLUMBING PERMIT
ITEM
FEE
Fixtures
Residential Bath(s) NO '2
Sanitary Sewer FT.
Water FT.
Storm Sewer FT.
Mobile Home ;
/~
.
Plumbing Permit
State Surcharge
~~~
/~~~
.
Total Charge
(C)
MECHANICAL PERMIT
~Oto
~ Sf)
.
~~
/5. 60
300
Furnace
Exhaust Hood
NO
2.
Vent Fan
Wood Stove/lnsert~ace~
----
Dryer Vent
Mechanical Permit
-3$ S- 0
~,DO
J .73
~_2'
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
ft
~ ft
/'5,/0
r
Curbcut
Demolition
State Su rcharge
Total Miscellaneous Permits (E)
TOTAL AMOUNT DUE (excluding electrical)
(A, B, C, D, and E Combined)
~{)t, .1-5
.HE PROPOSED WORK IN THE
HISTORICAL DISTRICT, OR O..N Y1n
THE HISTORICAL REGISTERV'l
If yes, this application must be signed
ar:ld approved by the Historical
Coordinator prior to permit issuance,
APPROVED:
BUILDING VALUE, PLAN CHECK
AND BUILDING PERMIT
This permit is granted on the express condition that the said
construction shall, in all respects, conform to the Ordinance
adopted by the City of Springfield, including the
Development Code, regulating the construction and use of
buildings, and may be suspended or revoked at any time
upon violation of any r vi ioyt 7>~aid ordinances,
Plan Check Fee: .iU
{ ?J ,q~
Lolo )
- /
Date Paid:
_/o/~~.2....
, D~ '
Systems Development Charge is due on all undeveloped
properties within the City limits which are being improved,
ADDITIONAL COMMENTS
~~* ffi D C '/)A
- ..;..-. -
.\~l: ~\\rXj()
, fY)~\Q): \qloQ
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t)tliXj/?~~vEr4+- ~pa
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By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
information hereon is true and correct, and I further certify
that any and all work performed shall be done in accordance
with the Ordinances of the City of Springfield, and the Laws
of the State of Oregon pertaining to the work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are in compliance with ORS 701.055 will be used on this
project
VALIDATION:
RECEIPT NUMBER
~~eI/
/0/3 lJ/5 L
, ,
2c.:rJ~, .:7;
~-~
DATE PAID
AMOUNT rRECEIVED
RECEIVED BY
~,